NPI 1770737546

Mad Dogs & Englishmen

Organisation Point of Service Wasilla, AK

Practice location

Address: 5900 W. Locksley Loop, Wasilla, AK 99654-0837
Phone: (907) 357-7477
Fax: (907) 357-7477
Mailing address: 7362 W Parks Hwy Box 204, Wasilla, AK 99654-9132

Authorised official

Name: Daniel S Kilanowski
Title: Owner
Phone: (907) 357-7477

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 741871 (AK)

Other Point of Service providers in Alaska →

Registry record

NPI: 1770737546
Entity type: Organization
NPI issued: 6 Nov 2008
Record last updated: 2 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.